Coventry Family History Society
 
Bank Standing Order - Annual Subscription

Interests form Print this form Membership form

Membership Number.............

BANK DETAILS

To:  The Manager
 Bank/Building Society
 
 

Bank Account Number
Sort Code 
Account in the name of
               
 
 

PAYMENT AUTHORITY

Please debit my/our account in accordance with the following details
Please pay
For the Credit of
Amount to be paid
Santander UK plc
Coventry Family History Society
 £
Sort Code
Account No
To be paid yearly
from start date
09-01-54
66031084
 
10th January 20

This instruction cancels any previous standing order in favour of Coventry Family History Society from the above account
Signed
Signed
 
 
Date
Date
 
 

Please ensure you have filled in the year from which the payments are to start.